Disability Services Application Form

Disability Services Application Form Powered by Symplicity

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Navarro College Disability Services Application Form

Please enter your information.

If you have already filled out a Disability Services application and are needing to make changes or have questions about the next step(s), please contact the Disability Services Office at 903-875-7377 or 903-875-7731.

Student Information

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If known please use your Navarro College issued email address
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History

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What accommodations are you requesting?*:
Click on the "Request Additional Accommodation" Button below to add additional accommodations.
What accommodations are you requesting?

Accessibility Accommodation

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Click to open
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What semester are you requesting accommodations for?

Please note accommodations are pending approval until appropriate documentation is received and intake session is complete.

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Documentation of disability is required to receive services. Please upload here or bring with you to the first meeting. Click here to refer to "guidelines for applying to disability services" for more information on documentation requirements.

Confidentiality Statement

I give disability services permission to discuss the nature or type of my disability-related needs with the following individuals.
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Please provide both the name and relationship of each approved contact. Enter "N/A" if you decline release.

Disclaimer and Agreement

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Verification Code. Click to hear the code. If you experience difficulties hearing the code in your browser, use the link below to download the audio file.
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